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Trainee Hcc Risk Adjustment Coding Jobs in Washington

Humana

Medical Coder

Springfield, VA · On-site +1

$19.50 - $26/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Triangle, VA · On-site +1

$19.75 - $26.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Alexandria, VA · On-site +1

$20 - $26.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Springfield, VA · On-site +1

$19.50 - $26/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Annandale, VA · On-site +1

$18.75 - $24.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Dale City, VA · On-site +1

$21 - $28.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Centreville, VA · On-site +1

$18.50 - $24.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Fairfax, VA · On-site +1

$19.25 - $25.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Dale City, VA · On-site +1

$21 - $28.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Reston, VA · On-site +1

$19.50 - $26/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Mclean, VA · On-site +1

$19 - $25.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Quantico, VA · On-site +1

$19.75 - $26.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Leesburg, VA · On-site +1

$19 - $25.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Leesburg, VA · On-site +1

$19 - $25.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

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Trainee Hcc Risk Adjustment Coding information

Can I get a job as a medical coder with no experience?

Entry-level medical coding positions, including trainee HCC risk adjustment coding roles, often do not require prior experience but do require knowledge of medical terminology, coding systems like ICD-10, and attention to detail. Completing a coding certification or training program can improve job prospects, and some employers offer on-the-job training for beginners.

Is HCC coding a good career?

HCC coding for risk adjustment is a growing field in healthcare, offering stable employment opportunities and the potential for certification as a Certified Professional Coder (CPC) or similar credential. It requires attention to detail, knowledge of medical terminology, and familiarity with coding software, making it a viable career path for those interested in healthcare administration and medical billing.

What are some common challenges faced by Trainee HCC Risk Adjustment Coders, and how can they be overcome?

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What is a Trainee HCC Risk Adjustment Coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

What are the key skills and qualifications needed to thrive as a Trainee HCC Risk Adjustment Coder, and why are they important?

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a coding certification such as CPC or CCS, along with knowledge of medical coding and healthcare documentation. Training programs or courses in risk adjustment coding are often recommended, and experience with coding tools and electronic health records can enhance job prospects.

How much do HCC coders make in the US?

HCC risk adjustment coders typically earn between $50,000 and $80,000 annually in the US, depending on experience, certification, and location. Entry-level positions may start lower, while experienced coders with certifications like CPC or CCS can earn higher salaries, especially in healthcare hubs or with specialized skills.
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Trainee Hcc Risk Adjustment Coding jobs near you
Certified Risk Adjustment Coder (CRC), Senior Associate

Certified Risk Adjustment Coder (CRC), Senior Associate

Ankura Consulting Group, LLC

Washington, DC • On-site

$85K - $200K/yr

Full-time

Posted yesterday

Job description

Ankura is a team of excellence founded on innovation and growth.
Practice Overview:
Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most prominent US health care providers, payers, and law firms.
Role Overview:
Our Sr. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.
Responsibilities:
  • Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project.
  • Evaluate compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines.
  • Communicate effectively with internal and external stakeholders according to project requirements
  • Works with Project Managers to understand client needs and develop project work plans accordingly
  • Understands Healthcare Compliance concepts, issues, and how to research and access regulatory guidelines and reference materials
  • Drafts clear and concise analyses of medical record review and coding findings
  • Ensures successful completion of project deliverables as assigned and within the desired timeframe
  • Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships
  • Identifies opportunities for cross practice collaboration
  • Proven writing and presentation skills and has a keen sense of attention to detail
  • Communicates findings of concern with the team and Project Manager as they are identified
  • Can independently deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas.

Qualifications:
  • Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology
  • Associate's or Bachelor's degree preferred, but not required
  • Strong understanding of clinical terminology, disease processes, anatomy and pharmacology.
  • Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements.
  • Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
  • Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects simultaneously, if needed.
  • Ability to work in a fast-paced environment while maintaining high quality
  • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings
  • Understands the importance of attorney-client privileged and confidential communication
  • Willingness to travel when needed
  • Willingness to perform a variety of skill based tasks related to risk adjustment work
  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

For individuals assigned and/or hired to work in California, Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. The range does not include additional benefits outside of salary. At Ankura, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each role. A reasonable estimate of the current base pay range is between $85,000 to $200,000; this range is not a promise of a particular wage.
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Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email accommodations@ankura.com or call toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues unrelated to a disability, will not receive a response.

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